C09990210 / invoice 10000

Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):5
Diagnosis or signs:recheck ears
Consult notes
05/03/2026 REVISIT

REASON: Recheck OE.

PROGRESS: Has been on pred - seems less itchy/sore in ears. 

EXAM: Can examine with chill meds - good level. 
L ear more mucky than R. 
Can see ear drum in both. 
Canals less inflamed and less narrowed. 

ASSESSMENT: bilateral OE. 

PLAN:O happy to use PMP. 
Recheck in 7-10d - when infection resolved look to change to elocon or cortavance. 

O has found cytopoint helped well when first started, but recently not helping enough. Lasted only a week recently.  Has been using apoquel etc as well. 
Suspect food allergy and atopy. 
O to continue with diet trial. 

Previous claim history (13)

DateClaim #Diagnosis
2026-02-28C09987479HYPERSENSITIVITY DISORDER (ALLERGY)
2026-02-28C09987479FLEA/TICK/WORM CONTROL
2025-12-11C09614078HYPERSENSITIVITY DISORDER (ALLERGY)
2021-12-06C4301983PRURITIS
2021-09-26C4114246INGEST FOREIGN OBJECT
2021-09-21C4112428URINARY TRACT INFECTION (UTI)
2021-09-19C4085746CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2021-09-19C4085746PRESCRIPTION DIETS
2021-09-18C4088731CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2021-09-18C4091504CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2021-06-14C3824994DESEXING
2021-06-06C3814165URINARY TRACT INFECTION (UTI)
2021-03-30C3642943DIARROHEA

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-05
20000tstarc_ear_medication_-_antibacterial_and_anti-fungal96.522026-03-05

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.490
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description